Otolaryngology Fellowships

Based at: Imperial College Healthcare NHS Trust, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved February 2014; reapproved October 2022 - September 2025

Supervisor / Lead Consultant: Mr Alasdair Mace, Consultant Otolaryngologist

Fellowship duration: 12 months

Stated learning outcomes:

• Competence in major head and neck resections.
• Competence in craniofacial approaches to anterior and lateral skull base disease.
• Competence in surgical endoscopy for diagnosis and therapeutic intervention.
• Competence with laser surgery for laryngological/airway, and head and neck disease.
• Competence in local and distant pedicled flaps.
• Understanding of free flap reconstruction and post-operative management.
• Competence in training trainees in the operating theatre, ward and outpatient environments.
• Understanding and involvement in research.
• Understanding of non-surgical management of cancer, including chemoradiotherapy planning and delivery, and rehabilitation of voice and swallowing.

Clinical competencies to be achieved:

• Assessment of head and neck oncology patients.
• Assessment of benign and inflammatory head and neck disease.
• Ability to work in teams i.e. multidisciplinary partners.
• Communication skills with patients and colleagues.

Number of main operations the fellow could expect to be involved in:

• Diagnostic endoscopy - 20
• Salivary gland surgery - 15
• Thyroid surgery - 10
• Neck dissection - 10
• Embryological head and neck disorders eg branchial cysts/tracts/fistula - 5
• Laryngectomy +/- pharyngectomy - 10
• Major Oral cavity and oropharyngeal resections - 5
• Local and distant pedicled reconstruction - 5
• Craniofacial surgery approaches - 5
• Complex revision head and neck surgery - 2
• Lateral temporal bone resections - 2
• Microlaryngoscopy +/- Glottoplasty - 20
• Management of benign salivary diseases and exposure to sialendoscopy - 5

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Jonathan Hughes (Apr 14 - Sept 14)
• Safina Ali (Oct 15 - Feb 16)
• Phoebe Roche (Jun 17 - Jun 18)
• Jag Virk (Jul 18 - Jul 19)
• Akshat Malik (Aug 19 - Oct 20)
• David Allin (Oct 20 - Oct 21)

Fellows' feedback

A summary of final feedback from the five most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement.”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x  x  x  x
Strongly agree |  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x  x
More training than service |  x  x  x
Mostly training |

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x  x
5  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

Based at: City Hospitals Sunderland NHS Trust

Surgical Specialty Association approving: ENT UK

Approval period: March 2019 – May 2024, subject to monitoring of ST operative availability

Supervisor / Lead Consultant: Mr Francis Stafford, Consultant Otolaryngologist

Fellowship duration: 12-24 months

Stated learning outcomes:

• This post is designed to give newly accredited surgeons an intensive operative and clinical experience to ensure they are fully independent surgically and ready to move from SpR in Otolaryngology to Consultant in Head and Neck Surgery.

• The post is designed to develop expertise in Thyroid, Parathyroid and salivary gland surgery. Also, ensure competency in Trans Oral Robotic and LASER surgery and major Head and Neck resection and reconstructive surgery.

• The post also emphasises the benefits of multidisciplinary working within a fully integrated Head and Neck Unit. ENT and OMF in Sunderland are part of the same directorate and share the same ward, expert nursing, Speech and Swallowing therapists, dieticians and Clinical Nurse Specialists and when necessary, seamless case sharing.

Clinical competencies to be achieved:

• The Fellow will become proficient in LASER resection of laryngeal and tonsil tumours and become confident in Trans Oral Robotic resection of oropharyngeal and base of tongue tumours.
• The Fellow will work with both ENT and OMF consultants during the numerous joint resection and reconstruction procedures carried out in the department and become proficient in assessing and resecting tumours and various reconstructive techniques including Pectoralis Major myocutaneous flaps, supraclavicular pedicled island flap, radial forearm, anterolateral thigh and free jejunal microvascular flaps.
• The Fellow will take responsibility for the day-to-day care of Head and Neck in-patients, supervising and advising ward doctors and trainees.

Number of main operations the fellow could expect to be involved in:

The Supervisor states: “Operatively the fellow will be expected to have carried out at least 20 thyroidectomies, 10 parathyroidectomies and 20 neck dissections, be submitting data to the BAETS national audit and be confident to supervise pre CCT trainees in these procedures.”

Based at: Deenanath Mangeshkar Hospital & Research Centre, Pune, India

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved December 2016; reapproved March 2020 - May 2023

Supervisor / Lead Consultant: Dr Sachin Gandhi, Director, Department of Laryngology, with Dr. Nilanjan Bhowmick, Consultant ENT Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• The candidate would be able to independently assess any patient with a voice disorder and formulate a treatment protocol.
• The candidate would be able to independently assess swallowing disorders and device management plans.
• The candidate would have understood the instrumental practical economic requirements needed to set up a laryngology clinic.

Clinical competencies to be achieved:

• The candidate should be able to perform microlaryngoscopy.
• The candidate should be able to independently perform laser excision of benign vocal cord lesion such as polyps, nodules etc.
• The candidate should independently perform videostroboscopy.
• The candidate should be able to perform endoscopic swallowing examinations.

Number of main operations the fellow could expect to be involved in:

Numbers for fellows to perform individually in 12 months’ training:

• Microlaryngeal Phonosurgery - 10
• Transoral Laser Cordectomy for BAP - 3
• Thyroarytenoid Myoneurectomy - 2
• Papilloma - 2
• Transoral Laser Surgery for Grade-1 & 2 stenosis - 3
• DL Scopy & Biopsy - 5
• DL Scopy with Dilatation - 5

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Divyank Bansal (Jul 16 - Jun 17)
• Rohan Bidaye (Jul 16 - Jun 17)
• Shashank Gupta (Jun 17 - Jun 18)
• Abren Santocildes (Jul 17 - Jun 18)
• Arun KC (Jul 18 - Jun 19)
• Supreetha Shenoy (Jul 18 - Jun 19)
• Dushyanth Ganesuni (Jul 19 - Jun 20)
• Asheesh Dora G.B.K. (Jul 19 - Jun 20)
• Subash Bhatta (Jul 19 - Jun 20)

Fellows' feedback

A summary of the final feedback from the six most recent completing fellows:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |
Strongly agree |  x  x  x  x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x  x  x  x  x
More training than service |  x
Mostly training |

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x  x
5  x  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x  x
No |

Based at: Guy’s and St Thomas’ NHS Foundation Trust, London

Surgical Specialty Association approving: ENT UK

Approval period: March 2022 - February 2025

Supervisor / Lead Consultant: Mr Yakubu Karagama, Consultant ENT Surgeon and Laryngologist, with Miss Elfy Chevretton, Consultant ENT Surgeon and Laryngologist

Fellowship duration: 12 months

Stated learning outcomes:

The fellow will have competence in:

• Performing flexible and rigid video laryngoscopy and stroboscopy.
• Understanding acoustic voice assessment and analysis.
• Transnasal oesophagoscopy in office under local anaesthetic.
• Office laser laryngeal procedure.
• Microlaryngeal procedures.
• Panendoscopy.
• Vocal cord injection in the office under local anaesthetic and in the operating room.
• Laryngeal framework surgeries.
• Endoscopic management of laryngeal disorders.
• Neurolaryngology- Laryngeal reinnervation and management of spasmodic dysphonia.
• Management of laryngotracheal stenosis.
• Assessment and management of dysphonia, dysphagia and both acute and chronic airway obstruction.

Clinical competencies to be achieved:

• Clinical assessment of patients presenting with airway, voice and swallowing problems.
• Assessment of patients with compromised airway.
• Investigations and management of patients with airway, voice and swallowing disorders.
• Multidisciplinary teamwork.

Number of main operations the fellow could expect to be involved in:

The main operations the Fellow will be involved in, and the approximate number of these in which the Fellow could expect to be the principal / independent operator (indicated in brackets):

• Microlaryngoscopy and attention to laryngeal lesions (50)
• Panendoscopy (15)
• CO2 Laser cricothyroid myotomy for pharyngeal pouch (8)
• Laryngeal framework surgery- Isshiki type 1 thyroplasty (12)
• Injection laryngoplasty (20)
• Recurrent laryngeal nerve reinnervation (8)
• Botulinum injections under local and general anaesthesia to the larynx for spasmodic dysphonia (15)
• Botulinum injections under local and general anaesthesia to the pharynx for pharyngeal spasm (10)
• Transnasal oesophagoscopy and balloon dilation in the office (10)
• Laser laryngeal procedures in the office under local anaesthetic (12)
• Endoscopic airway procedures including the use of laser and balloon dilatation (6)
• Microlaryngoscopy and laser division of laryngeal scarring, stenoses and webs with balloon dilation under general anaesthesia (12)

Based at: Charing Cross Hospital & Royal Brompton Hospital, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved February 2013; reapproved March 2016; reapproved June 2019 - August 2022

Supervisor / Lead Consultant: Mr Guri Sandhu, Consultant Otolaryngologist, with Mr Chad Al Yaghchi, Consultant Laryngologist

Fellowship duration: 12 months

Stated learning outcomes:

• Competence in rigid, flexible and chip-tip digital stroboscopy.
• Competence in and understanding of acoustic voice analysis.
• Competence in performing rigid and flexible oesophagoscopy and endoscopic biopsies and procedures.
• Competence in microlaryngeal procedures including injection glottoplasty.
• Assessment and management of neurolaryngological disorders including the use of botox.
• Learn indications for and techniques in open procedures to restore the normal voice.
• Be competent in the endoscopic approach to airway assessment and surgery and post-operative care.
• Competent in the open surgical techniques for laryngotracheal reconstruction
  assessment and management of dysphagia.
• Laryngeal re-innervation approaches.

Clinical competencies to be achieved:

• Assessment of the voice of patient and multidisciplinary team management.
• Assessment of the airway compromised patient, patient safety and appropriate investigations and treatments.
• Assessment and appropriate investigations and treatment of swallowing problems.
• Team working.

Number of main operations the fellow could expect to be involved in:

Supervisor states: “In this post, the fellow will be expected to perform approximately 600 cases in the 12 months of the Fellowship. Over 50% of the referrals are tertiary.  

• It is expected that of the 600 general anaesthesia operations, 200 would be classed as ‘performed’, i.e. unsupervised. This comprises routine microlaryngoscopy for benign vocal cord pathologies (cysts, nodules and polyps, dysplasia and papilomatosis etc) including the use of the laser and microdebrider. Endoscopic airway procedures to the laser, balloon dilatation and microdebrider.
• There is also exposure to paediatric MLB assessments and endoscopic airway operations (60 cases/year).
• Open procedures include the majority of benign head and neck operations but principally thyroplasties for cord palsies and gender voice change (75 cases per year).
• Complex airway procedures include tracheal resections and laryngotracheal reconstructions (36 cases/year).
• There is an ENT daycare procedures room attached to the outpatient clinic. This allows for local anaesthetic outpatient clinics. Procedures include laryngeal biopsies, injection medialisation, Botox injections, laryngeal EMG as well as trans-nasal oesophagoscopy. A blue laser system is soon to be introduced.
• Currently, there are 400 day case laryngeal procedures per year and the fellow will undertake at least 200 per year supervised.”

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Jonathan Hughes (Oct 13 - Mar 14)
• Andrew Kinshuck (May 16 - Apr 17)
• Rohan Bidaye (May 18 - May 19)
• Anthony Rotman (May 19 - May 20)
• Gerard Thong (Jun 20 - Oct 21)

Fellows' feedback

A summary of final feedback from the five most recent completing Fellows:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x  x
Strongly agree |  x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x  x  x
More training than service |  x  x
Mostly training |

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4
5  x  x  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

Based at: Guys & St Thomas' Hospital NHS Foundation Trust, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved February 2013; reapproved July 2017; reapproved June 2021 - May 2024

Supervisor / Lead Consultant: Mr Ricard Simo, Consultant Otorhinolaryngologist, with Mr Richard Oakley, Consultant and Clinical Lead for Head and Neck Surgical Oncology

Fellowship duration: 12 months

Stated learning outcomes:

• To achieve all clinical and surgical skills to become a modern head and neck oncological surgeon.
• To achieve the development of a special interest in Head and Neck Surgery.

Clinical competencies to be achieved:

• To be competent in the evaluation and diagnosis of head and neck cancer patients.
• To be competent in the standard surgical ablative procedures in head and neck cancer.

Number of main operations the fellow could expect to be involved in:

The fellows get three full operating days a week and they will do an average of 150 major head and neck resections a year as a first surgeon.

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Matthew Cronin (May 13 - Jul 14)
• Safina Ali (Jul 14 - Sept 15)
• Kevin Smith (Jul 15 - Jun 16)
• Kenneth Muscat (Jul 16 - Jun 17)
• Aleix Rovira-Casas (Jun 17 - Jun 18)
• Luigi Volpini (Jul 18 - Jul 19)
• Georgios Oikonomou (Jul 19- Jun 20)
• Aina Brunet Garcia (Jul 20 - Aug 21)

Fellows' feedback

A summary of final feedback from the five most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x  x
Strongly agree |  x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x  x
More training than service |  x  x
Mostly training |  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x
5  x  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

Based at: HealthCare Global Cancer Centre, Bangalore

Surgical Specialty Association approving: ENT UK

Approval period: January 2019 - March 2022

Supervisor / Lead Consultant: Professor Vishal Rao, Head of Department for Head Neck Surgical Oncology

Fellowship duration: 18 months

Stated learning outcomes:

• Clinical head and neck oncology
• Reconstructive surgery
• Training in ancillary specialties
• Cancer prevention and community oncology
• Teaching and Seminars
• Multidisciplinary Tumour Board exposure

Clinical competencies to be achieved:

• Performing office endoscope
• Performing minor procedures such as DL copy and ML copy biopsy
• Performing major surgical procedure neck dissection, mandibulectomy
• Post operative management including rehabilitation
• Planning adjuvant therapies

Number of main operations the fellow could expect to be involved in:

• Diagnostic Endoscopies - 30
• Neck dissections - 35
• Microlaryngoscopy - 30
• Thyroidectomies - 10
• Laryngectomies - 10
• Oral cavity resections - 20
• Complex/recurrent disease - 5
• Local and distant flaps - 10

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Dr Anand Subash (Jan 2018 - Jun 2019)
• Dr Bharghaw Ilapakurty (Sept 18 - Feb 20)
• Dr Nagarajuna Reddy (Sept 18 - Feb 20)
• Dr Joshna B.M. (Sept 19 - Mar 21)
• Dr N Apoorva Reddy (Sept 19 - Mar 21)

Fellows' feedback

A summary of final feedback from the five most recent completing fellows providing full feedback:

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |  x  x
Strongly agree |  x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |  x  x  x  x
More training than service |  x
Mostly training |

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4
5  x  x  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

Based at: HealthCare Global Cancer Centre, Bangalore

Surgical Specialty Association approving: ENT UK

Approval period: October 2021 - September 2024

Supervisor / Lead Consultant: Professor Vishal Rao, Head of Department for Head Neck Surgical Oncology

Fellowship duration: 18 months

Stated learning outcomes:

At the end of the training period, the candidates are expected to have in-depth knowledge, skills and attitude to take up an academic career in head and neck oncology and leadership positions in the field.

Clinical competencies to be achieved:

• To be competent in the evaluation and diagnosis of oral cancer patients.
• To be competent in the standard surgical ablative procedures for the treatment of oral cancer.

Number of main operations the fellow could expect to be involved in:

• Diagnostic Endoscopies - 30
• Neck dissections - 35
• Laser excisions - 30
• Glossectomies- hemi/partial/total - 20
• Composite resections-mandible/maxilla/buccal mucosa - 20
• Complex/recurrent disease - 5
• Local and distant flaps - 10
  

Based at: Alder Hey Children's NHS Foundation Trust, Liverpool 

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved: October 2018; reapproved March 2022 - February 2025

Supervisor / Lead Consultant: Mr Ravi Sharma, Consultant Paediatric Otolaryngologist and Clinical Director for ENT and Audiology, with Miss Sujata De, Consultant Paediatric ENT Surgeon and Craniofacial Lead

Fellowship duration: 12 months

Stated learning outcomes:

• Develop skills and knowledge in complex tertiary level paediatric otolaryngology.
• Develop experience in complex paediatric airway, otology and head and neck surgery.

Clinical competencies to be achieved:

• To attend and manage patients in multidisciplinary subspecialty clinics under consultant supervision (Down’s clinic, craniofacial clinic, cleft clinic, complex breathlessness clinic, complex airways clinic).
• To perform approximately 400 cases in the 12 months of the Fellowship. It is expected that of these 400 operations, 300 would be classed as ‘Performed’, i.e. unsupervised. This comprises of routine ear, nose and throat surgery such as coblation adenotonsillectomy (150 cases/year) and grommets (30 cases/year), and more complex tertiary level paediatric ENT surgery.
• To supervise junior specialty trainees on the regional rotation undertaking surgery commensurate to their level of training.

Number of main operations the fellow could expect to be involved in:

Supervisor states: "In this post, the fellow will be expected to perform approximately 400 cases in the 12 months of the Fellowship. It is expected that of these 400 operations, 300 would be classed as ‘Performed’, i.e. unsupervised."

This comprises:

• Routine ear, nose and throat surgery: coblation adenotonsillectomy (150 cases/year) and grommets (30 cases/year).
• Emergency procedures: removal of foreign body in aerodigestive tract, post tonsillectomy bleed, drainage of neck abscess, approximately 30 cases/year.

Complex tertiary level paediatric ENT surgery:

• Middle ear procedures: approximately 35 per year, including endoscopic tympanoplasty and tympanomastoid surgery.
• Paediatric rhinology procedures: approximately 20 cases per year, including balloon sinuplasty, endoscopic dacryocystorhinostomy, choanal atresia repair.
• Paediatric airway: over 50 cases per year microlaryngotracheobronchoscopies (MLTBs) during the Fellowship year, of which 80% will be ‘Performed’ or ‘Supervisor Unscrubbed’. They will also be expected to perform approximately 5 paediatric tracheostomies, of which 50% will be ‘Performed’ or ‘Supervisor Unscrubbed’

In addition, there will be an opportunity to undertake more uncommon complex paediatric procedures including BAHA surgery, anterior skull base surgeries – (CSF leak repairs/ Pituitary tumours/ Juvenile Angiofibroma) and head and neck reconstructive procedures such as complex laryngotracheal surgery, trachea-cutaneous fistula closure, Sialendoscopy, branchial anomaly surgery).

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Grace Khong (Aug 18 - Aug 19)
• Smadar Atsmoni (Jul 20 - Jul 21)

Based at: Charing Cross Hospital & Royal Brompton Hospital, London

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved October 2013; reapproved July 2017; reapproved April 2021 - March 2024

Supervisor / Lead Consultant: Prof Hesham Saleh, Consultant Rhinologist and Professor of Practice in Rhinology, with Miss Cath Rennie and Mr Mark Ferguson, Consultant ENT Surgeons

Fellowship duration: 12 months

Stated learning outcomes:

• Knowledge: competent in managing complex Rhinology cases in outpatient setting
• Practical: competent to operate independently
• Minimum of 50 rhinoplasties
• Minimum of 50 rhinology cases
• Minimum of 20 anterior skullbase surgery cases (optional, according to the Fellow's interests)
  
• Personal & professional skills: work effectively within a clinical team
• Personal & professional skills: participate in clinical governance and audit within the departments
• Minimum of one complete audit
• Minimum of four presentations
• Minimum of four publications in peer reviewed journals.

Clinical competencies to be achieved:

• Competence in managing Rhinology patients within the outpatient setting
• To operate independently

Number of main operations the fellow could expect to be involved in:

See Learning Outcomes above

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Matthew Magarey (Aug 13 - Mar 14)
• Catherine Rennie (Nov 16 - Nov 17)
• Mark Ferguson (Oct 18 - Sept 19)
• Samit Unadkat (Oct 19 - Sept 20)

Fellows' feedback

A summary of final feedback from the five most recent completing Fellows providing full feedback

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |  x  x
Agree |  x
Strongly agree |  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |  x
About equal |  x  x
More training than service |  x
Mostly training |  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x  x
5  x  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x  x  x
No |

Based at: Aintree University Hospital NHS Foundation Trust

Surgical Specialty Association approving: ENT UK

Approval period: July 2016 - June 2019; reapproved September 2019 - November 2022; reapproved December 2022 - November 2025

Supervisor / Lead Consultant: Mr Samuel Leong, Consultant ENT Surgeon, with Mr Omar Ayoub, Consultant ENT Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• To competently manage patients with chronic rhinosinusitis and other sinonasal conditions.
• To be able to independently undertake a variety of surgical procedures specific to rhinology including endoscopic sinus surgery, septoplasty and management of the hypertrophic inferior turbinate.
• To be able to assess patients who require rhinoplasty and formulate appropriate surgical plans.
• To gain exposure and experience to the anterior skull base and extended endoscopic anterior skull base surgery.
• To be competent in the use of image guidance systems and understand the role of this technology in surgical rhinology.
• To appreciate the role of a facial plastic surgeon within a skull base team in the management of facial paralysis.
• To share responsibility for the ORL-HNS service with the other Registrars/ Specialty Doctors supported by the Consultants.

Clinical competencies to be achieved:

• Ability to diagnose, manage and counsel patients with rhinological conditions.
• Undertake sinus, septal and nasal surgery as an independent clinician.
• Ability to recognise complications of rhinological conditions and iatrogenic surgical complications, and undertake necessary management including onward referral.

Number of main operations the fellow could expect to be involved in:

Over a 12-month period: supervised | performed

• Septoplasty: 20 | 35
• Turbinate reduction (endoscopic): 15 | 45
• FESS: 35 | 40
• Septorhinoplasty: 10 | 10
• Frontal sinus surgery (Draf 2, 3): 6 | 6
• Resection of nasal tumour (endoscopic): 15 | 20
• CSF leak repair: 3 | 3

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Grace Khong (Aug 17 - Jul 18)
• Gaurav Shankar Medikeri (Aug 18 - Aug 19)
• Richard Green (Aug 19 - Mar 20)

Fellows' feedback

A summary of final feedback from the three most recent completing Fellows

1. Learning Outcomes

“I achieved all of the learning outcomes as specified in my learning agreement”

Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |
Strongly agree | x  x  x

2. Service: Training Balance

Please indicate the balance between service and training in your clinical activities:

Mostly service |
More service than training |
About equal |
More training than service |  x  x
Mostly training |  x

3. Overall rating

How would you rate the Fellowship post overall, from 1-5? (1=very poor, 5=very good)

1
2
3
4  x
5  x  x

Would you recommend this post to a colleague?

Yes |  x  x  x
No |

*** June 2020: this Fellowship programme is not recruiting Fellows until further notice, because of the impact of Covid-19 ***

Based at: Cwm Taf University Health Board

Surgical Specialty Association approving: ENT UK

Approval period: June 2020 – May 2023

Supervisor / Lead Consultant: Mr Huw Williams, Consultant ENT and Rhinoplasty Surgeon

Fellowship duration: 12 months

Stated learning outcomes: 

• To be able to independently undertake a variety of surgical procedures including Rhinoplasty (Functional and aesthetic), ESS and septoplast.
• Complex nasal reconstruction including harvest of ear and rib cartilage.
• Management of benign and malignant facial skin lesions – Resection and reconstruction with local and advanced flaps.
• To be competent in performing MOHs Micrographic surgery.
• Appropriately manage cases of general and advanced skin cancer reconstruction.
• To gain some general ENT emergency care experience relating to optional out of hours cover.

• To be able to independently undertake a variety of surgical procedures including Rhinoplasty (Functional and aesthetic), ESS and septoplasty.
• Fellows will be expected to surgically manage cutaneous malignancy (including Mohs) and develop reconstruction skills.
• The fellow will become proficient in assessing patients for cosmetic and functional rhinoplasty.
• The fellow will gain significant surgical exposure to septorhinoplasty.
• Following induction and initial training the Fellow will be encouraged to develop decision-making skills in a consultant supervised setting with the aim to be capable of independent Consultant practice in this subspecialty.

Number of main operations the fellow could expect to be involved in:

• External septorhinoplasty (Performed: 5)
• MOHs excision (Performed: 10)

Based at: University Hospitals Birmingham NHS Foundation Trust

Surgical Specialty Association approving: ENT UK

Approval period: June 2021 - May 2024

Supervisor / Lead Consultant: Mr Mriganka De, Head Neck Consultant, Deputy Clinical Service Lead at the Trust

Fellowship duration: 12 months

Stated learning outcomes:

• Able to diagnose and treat common thyroid and parathyroid related conditions
• Able to perform independent thyroid and parathyroid surgery
• Completion of relevant research projects

Clinical competencies to be achieved:

• Able to diagnose and manage patients with surgical thyroid disorders in the clinic
• Contribute to the discussion of the cases in the Thyroid MDT
• Perform routine thyroid surgeries independently
• Able to tackle common post-operative complications after thyroid procedures

Number of main operations the fellow could expect to be involved in:

• Hemi / Total thyroidectomy – 50 as a Primary surgeon
• Neck dissection – 10 as a Primary surgeon
• Parathyroidectomies – 10 as a primary surgeon

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Rohan Bidaye (Jul 20 - Jul 21)

Based at: Lister Hospital, East and North Hertfordshire NHS Trust

Surgical Specialty Association approving: ENT UK

Approval period: Initially approved December 2022 – November 2025

Supervisor / Lead Consultant: Mr George Mochloulis, Consultant Otolaryngologist, Head and Neck Surgeon at Lister Hospital, East and North Hertfordshire NHS Trust

Fellowship duration: 12 months

Stated learning outcomes:

• Able to manage common thyroid and parathyroid diseases.
• Able to perform thyroid and parathyroid operations competently.
• Involvement in relevant research projects.

Clinical competencies to be achieved:

• Competent in performing thyroid/ parathyroid surgery independently.
• Able to diagnose and manage common thyroid and parathyroid conditions.
• Able to perform thyroid and parathyroid operations (with minimal assistance).
• Competent communicator both with staff and patients, including breaking bad news.

Number of main operations the fellow could expect to be involved in:

• 12 thyroidectomies (of which 100 as first surgeon)
• 20 parathyroidectomies/ 4 gland explorations (of which 15 as first surgeon)
• 40 neck dissections (of which 30 as first surgeon)

Fellows will be required to complete mandatory interim and final feedback as per RCS monitoring protocol.

Based at: Royal Berkshire NHS Foundation Trust, Reading

Surgical Specialty Association approving: ENT UK

Approval period: First approved July 2018; reapproved October 2021 - September 2024

Supervisor / Lead Consultant: Mr Rogan Corbridge, Consultant ENT Surgeon, with Mr Sidhartha Nagala, Consultant ENT Surgeon

Fellowship duration: 12 months

Stated learning outcomes:

• Able to diagnose and treat common thyroid and parathyroid related conditions.
• Able to perform thyroid and parathyroid operations (with minimal assistance).
• Involvement in and/or completion of relevant research projects.

Clinical competencies to be achieved:

• Ability to diagnose common thyroid and parathyroid conditions.
• Able to perform thyroid and parathyroid operations (with minimal assistance).
• Demonstrate communication skills with staff and patients including breaking bad news.

Number of main operations the fellow could expect to be involved in:

Supervisor: 'As a primary operating surgeon we would expect the fellow to perform a minimum of 50 operations. This would be broken down into 40 thyroid and 10 parathyroid operations.'

Fellows awarded Fellowship Certificate (dates of Fellowship):

• Dilip Nair (Oct 2018 - Nov 2019)
• Shivanthi Kandiah (Jan 20 - Jan 21)